| NPI | 1932295607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY KY24136) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 24136) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 24136) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-11-10 |